Section 4.4 of the CAQH CORE 370 Rule identifies several cross-industry needs identified by CORE Participants during development of the Phase III CAQH CORE EFT & ERA Operating Rules. NACHA – The Electronic Payments Association is the organization responsible for the development and maintenance of the NACHA Operating Rules which govern the ACH Network and maintains the CCD+ standard format. To address the identified cross-industry needs, in November 2012, NACHA adopted a new healthcare payments rule as part of the NACHA Operating Rules. The rule supports health plans’ and health care providers’ use of the CCD+ for electronic healthcare claims payments, and the electronic “reassociation” of these payments with electronic remittance advices (ERAs).
As the authoring entity for the operating rules governing the ACH Network and standards development organization (SDO) for the CCD+, guidance on industry implementation of the CCD+ should be sought from NACHA. Questions can be sent to Priscilla Holland, Senior Director, at firstname.lastname@example.org. Information on the new health care EFT and ERA standards, and other health care payments news is also available on NACHA’s Healthcare Payments Resource Site at http://healthcare.nacha.org.